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[Partial hip resurfacing-a critical analysis].

Nils Wirries¹, Stefan Budde²

¹Orthopädische Klinik, Medizinische Hochschule Hannover, DIAKOVERE Annastift, Anna-von Borries Str. 1-7, 30625, Hannover, Deutschland. Nils.Wirries@diakovere.de.

|December 21, 2020

Summary

This summary is machine-generated.

Partial hip implants offer an alternative to total hip arthroplasty for young patients with cartilage defects. However, evidence supporting their use is limited and requires critical evaluation compared to established total hip replacement methods.

Keywords:

Avascular necrosis of the femoral head Cartilage diseases Hip prosthesis Indication Young adult

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Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

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Published on: February 27, 2018

Area of Science:

Orthopedic surgery
Biomaterials engineering

Background:

Young patients with active lifestyles often develop localized cartilage lesions or osteochondral defects in the hip joint.
These hip defects can stem from various causes, influencing available treatment strategies.

Purpose of the Study:

To review partial joint resurfacing implants as a treatment option for hip joint defects.
To critically evaluate existing literature on partial hip implants, considering their role relative to total hip arthroplasty (THA).

Main Methods:

Literature review of partial joint resurfacing implants (e.g., HemiCAP®).
Comparison of partial resurfacing with total surface replacement (e.g., Birmingham hip replacement) and THA.
Analysis of study validity and registry data for hip replacement techniques.

Main Results:

Partial hip implants are presented as an alternative to THA, particularly for joint-preserving surgery.
The literature on partial implants is primarily based on case series with limited validity.
Hip resurfacing (BHR) shares similarities with partial replacement but also incorporates aspects of THA.

Conclusions:

Partial joint resurfacing implants represent a treatment strategy for hip defects, positioned between partial replacement and THA.
The limited evidence base for partial hip implants necessitates critical scrutiny.
Further research is needed to establish the long-term efficacy and indications for partial hip resurfacing compared to THA.